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Home My WebLink About15-103952 • 410 r Electrical City of Federal WayFILE Permit #: 15-103952-00-EL Community&Econ.Dev.Services ` 33325 8th Ave S Federal way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (2 53)835-3050 Project Name: KING COUNTY HOUSING AUTHORITY Project Address: 29219 18TH AVE S Parcel Number: 042104 9207 Project Description: Replace 125-amp panel,alter 2 circuits. • Owner Applicant Contractor KC HOUSING AUTHORITY KC HOUSING AUTHORITY OWNER IS CONTRACTOR 600 ANDOVER PARK W 600 ANDOVER PARK W TUKWILA WA 98188 TUKWILA WA 98188 Additional Permit information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Electrical Fixtures Alt.Serv./Feeder:0 to 200 amps(F 1 Circuits-Residential 2 PERMIT EXPIRES Wednesday, February 3, 2016 Permit Issued on Friday, August 7, 2015 I hereby certify that th e information is correct and that the construction on the above described property and the occupancy and e use will be in accordance with the laws,rules and regulations of the State of Washington ; and the City of Federal Way. � Owner or agent: ( j A4 Date: 15111,1:5- ED • • �' - THIS CARD IS TO REWT ON-SITE Federal Wa Construction Inspe tion Record y • INSPECTION REQUESTS: (253)835-3050 PERMIT#: 15-103952-00-EL Address: 29219 18TH AVE S Project: KC HOUSING AUTHORITY FEDERAL WAY, WA 98003-3826 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. ❑ UFER Ground (4295) 0 Ditch cover(4030) -❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date Pool Bonding(4195) em ❑ EITTemporary rY Power(4275 ) 0 Service(4235) Approved Approved Approved By Date By Date By Date Feeders/Sub-panels(4045) Rough Electrical 4225 ❑ ❑ g ( ) ❑ Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date ❑ Final-Electrical(4055) Approved 5.- ❑ , Rough Electrical ❑ Final Electrical Right of Way Approved Approved El Approved By Date By Date By Date •CEIVED PLECTRICAL CITY OF AUG 07 2015 Federal Way PERMIT APPLICATION CITY OF FEDERAL WAY ` CDS PERMIT NUMBER /5 _ / D 3 _ E L SITE ADDRESS' SUITE/UNIT/SPACE# • 2g2t S • PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE � JJ~ SJ V / V _ 90 ' T PROJECT NAME (Tenant or Homeowner Last Name) �j t1 t(7�t,C L• ` t.kt-�c�lrr 2S` T kt/2 PROJECT DESCRIPTION JL \\2) CrfIcIA4TS Detailed description of work to f�t.'T'L�� be included on this permit only NAME4PRIMARY PHONE PROPERTY OWNER 6 CQ . 4.411+744 tStA16r ( X )51L - I too MAILING ADDRESS r r E-MAIL I DD �aJ et- (M* vu . C:44 (� teUi4.cam( CITY STATE ZIP FAX cc.4 \kW 9% Mt) (2PG)571 -C22.4 NAME PRIMARY PHONE OWIclt�l-_ ( ) - MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PRIMARY PHONE APPLICANT OM .11404�1 (2 ) ) f _332, MAILING ADDRE E-MAIL�j � CITY STATE ZIP FAX KUALA' 144 q t 9 t, ( )574 - 12L`� NAME PRIMARY PHONE PROJECT CONTACT coo �- ic5 (2D) ( u3 t, I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental Iaws. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person,including the undersigned,and filed against the city, but only where c :'m arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supp ed to th- city as a part of this application. SIGNATURE: AIL DATE *t71 ` Ic r PRINT NAME: fi D WV<t 4,1! `t Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application